The Muslims were on their way to a festival at a shrine 90 kilometres from Ahmedabad, when they stopped near a highway cafe to rest for the night.
"In total 18 people have died, including nine women. Ten others are injured," a Gujarat police official who declined to be named told AFP.
"All the pilgrims were travelling on foot. Sixteen people died on the spot when the truck ran over them, and another two people died at a local hospital," he said.
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